Home Of The Innocents | |
1100 E Market St. Louisville KY 40206 | |
(502) 596-1000 | |
(502) 596-1413 |
Full Name | Home Of The Innocents |
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Speciality | Pediatrics |
Location | 1100 E Market St., Louisville, Kentucky |
Authorized Official Name and Position | David Mcdonald (CHIEF FINANCE OFFICIER) |
Authorized Official Contact | 5025961039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Home Of The Innocents 1100 E Market St. Louisville KY 40206 Ph: (502) 596-1000 | Home Of The Innocents 1100 E Market St. Louisville KY 40206 Ph: (502) 596-1000 |
NPI Number | 1780639690 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 10/02/2023 |
Certification Date | 10/02/2023 |
Medicare PECOS PAC ID | 4385623610 |
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Medicare Enrollment ID | O20040719001223 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780639690 | NPI | - | NPPES |
7100305090 | Medicaid | KY | |
7100268020 | Medicaid | KY | |
12500989 | Medicaid | KY | |
7100281540 | Medicaid | KY | |
7100392050 | Medicaid | KY | |
201015150A | Medicaid | IN | |
65902470 | Medicaid | KY | |
7100156180 | Medicaid | KY | |
7100173100 | Medicaid | KY | |
7100229960 | Medicaid | KY | |
7100275730 | Medicaid | KY | |
7100315940 | Medicaid | KY | |
300031860 | Medicaid | IN |
Provider Name | Heather G Huxol |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194709634 PECOS PAC ID: 8022052893 Enrollment ID: I20050613000879 |
Provider Name | Corrie Ann Harris |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760412548 PECOS PAC ID: 5698918316 Enrollment ID: I20130828000683 |
Provider Name | Sarah Nicole Korte |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679898753 PECOS PAC ID: 1658507033 Enrollment ID: I20131112002140 |
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